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What Causes Vertigo, Nausea And Lightheadedness?

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Posted on Sat, 15 Oct 2016
Question: 63 yr old husband...being treated for HB, chlorestrol, type 2 diabetes, runs 2-10 miles weekly, bikes 10-30 miles 1-3 Sunday mornings a month, a tennis coach with some court play with his team. Last Dr visit a month ago...told everything liked good.
Has recently started having vertigo symptoms some nausea, lightheadedness, that come on suddenly than go away, about 2 weeks that I am aware of. He drives his team long distances and this is of concern to me, He has not contacted his Dr. concerning this matter. Hearth disease runs in his family....could this be sign of possible leading to stroke or heart attach?
doctor
Answered by Dr. Kathy Robinson (55 minutes later)
Brief Answer:
yes, encourage him to go to doctor right away

Detailed Answer:
Hello and thanks for your question.
It sounds like he is doing many good things for himself. Please encourage him not to ignore these symptoms.
He has many risks for cardiovascular disease including being male, being over 50, diabetes, high cholesterol and positive family history of heart disease.
He really needs to be seen as soon as possible. This could save his life or save him great disability if he has an impending stroke or heart attack.
Taking care of this early is very important to avoid permanent damage.
Diabetes alone, even if it is controlled, is a very high risk situation for cardiovascular disease
Please try to get him to see a doctor as soon as possible.
If these symptoms last more than an hour he should go to Emergency.
Regards,
Dr. Robinson
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kathy Robinson (46 minutes later)
What are causes of vertigo and possible treatment, test we should be asking for? Also any other signs we should on look out for?
Thank you for your time. He can be stubborn. Will show him your answers to convenice him I am not over reacting.
doctor
Answered by Dr. Kathy Robinson (14 minutes later)
Brief Answer:
there are many causes

Detailed Answer:
Hello and thanks for the follow up.
There are many causes for vertigo. Some of them are benign like benign positional vertigo and these can be treated with manipulations done by ENT physicians or neurologists.
Other are more serious like blockages in the coronary arteries (not specifically vertigo, but nausea and lightheadedness) and blockages in the carotid arteries.
When you are doing as much as he is to take care of yourself, it is sometimes hard to admit that there can be a problem.
Again, I have to stress that just having diabetes, even if it is controlled, is a huge risk for having cardiovascular disease.
He really needs to see a doctor and get checked immediately.
I hope it is nothing serious but without testing I cannot reassure him of that.
Regards,
Dr. Robinson
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kathy Robinson (17 minutes later)
Thank you. Will show him your comments. Have a nice day and thank you.
doctor
Answered by Dr. Kathy Robinson (8 minutes later)
Brief Answer:
You are welcome

Detailed Answer:
I hope it is nothing serious
Dr. Robinson
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Kathy Robinson

General & Family Physician

Practicing since :1989

Answered : 3535 Questions

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What Causes Vertigo, Nausea And Lightheadedness?

Brief Answer: yes, encourage him to go to doctor right away Detailed Answer: Hello and thanks for your question. It sounds like he is doing many good things for himself. Please encourage him not to ignore these symptoms. He has many risks for cardiovascular disease including being male, being over 50, diabetes, high cholesterol and positive family history of heart disease. He really needs to be seen as soon as possible. This could save his life or save him great disability if he has an impending stroke or heart attack. Taking care of this early is very important to avoid permanent damage. Diabetes alone, even if it is controlled, is a very high risk situation for cardiovascular disease Please try to get him to see a doctor as soon as possible. If these symptoms last more than an hour he should go to Emergency. Regards, Dr. Robinson